Organization
SAUK PRAIRIE HEALTHCARE INC
Active
Other names
INTERNAL MEDICINE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DREGNEY (CFO)
(608) 643-7212
Entity
Organization
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-1599
(608) 643-3311
Mailing address
PO BOX 160, PRAIRIE DU SAC, WI 53578-0160
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001867
—
WI
01
—
DA6064
RAILROAD MEDICARE
—
Enumeration date
12/16/2008
Last updated
02/22/2018
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